Pretty devastated after surgery follow up!

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Firstly thank you to all on here who have been so supportive and helpful through the diagnosis and pre op chemotherapy journey. The support and advice has been so helpful and I have learned so much from the experiences of others.
Chris, my husband,  had his op on 16 April, surgery went well and was completed more quickly than I expected. A bit of a blip with heart rate meant he stayed in ICU for a few days but was discharged and came home on day eight.  He was amazingly well …… no problems moving around, climbing stairs or bending etc. Eating softish food without problems ( no feeding tube)  …. not too many problems with dairy or sugar so far. Tired obviously and needing regular rests. The only blip … bit of a urine infection and a badly leaking drain needed redressing. 
Progress has continued well and he’s already mowed the lawn Flushed

FAST FORWARD to yesterday and our follow up. Cancer was removed but margins were less than 1mm and 11 nodes out of 37 removed showed evidence of cancer. Much more advanced than any of the scans had suggested. Apparently Chris had already been discussed at MDT meeting who decided no further treatment. Chemo had only shown partial response we think and the last round had caused neutropenic sepsis. The surgeon has said she is asking the team to reconsider no treatment  and to use radiotherapy …. Chris and I want this as he  was also willing to continue with post op FLOT come what may.

Has anyone any positive thoughts around this diagnosis? I really need some.

I feel angry that a decision around treatment did not include us but was left to the surgeon to try and explain. She clearly doesn’t agree possibly  because she saw how well Chris is doing now compared to when the oncologists saw him last. Oncology is at another hospital. I welcome your thoughts.

Geraldine xx

  • Hi Sarah good to hear your still hanging in there and the chemo had finished!! 
    just to say re acid reflux I was referred for a endoscopy due to this and was diagnosed with Barrett’s oesophagus had three year checks my last one being May last year and was given the all clear for three years only to have food getting stuck in July and diagnosed with OC in October ! So boy did that change quick !! 
    not a lot of help to you I know !! And I know you should have been seen sooner but things can change quickly Take care Tricia x

  • Hi Gerry I still find this really hard to believe the fact that the decision was made before they saw Chris and that there wasn’t an oncology appointment made to discuss further options is baffling! I have always felt from people on this site that there are always options! Keep fighting as I know you will ! Sending love Tricia xx

  • Hi Tricia …… I was just about to message and ask how you are doing ….. really well I hope.

    chris is still recovering so well from surgery.
    We had a long talk with Dave upper GI nurse and he agrees with how we feel. I think they all expected Chris to be even more knocked out by the surgery than when he he had chemo. Oncology and MDT are meeting again on Friday and Jenni Wheat from BRI has written to suggest radiotherapy to the surgical site. At least we should get a full discussion before any decision is final .

    xx

  • I meant to ask in my reply to you, where you are being treated. Consultants seem to hold a range of views on treatment pathways which is understandable I guess as so little is definitive 

    G x

  • glad that seems more positive, one thing we have learnt is that you do have to push back and question, which is another thing we could do with out at such a stressful and worrying time, good luck when you have that conversation, let us know how it goes, sending hugs

    jules

  • Thanks Jules……. and sending same to you too. Xx

  • Further update. Oncology team don’t want to offer post op FLOT as the tumour regression score was 4 ….. v little response to chemo. They say it will have no effect and want surveillance instead. undSlight frownstand the logic but don’t understand why it’s offered in other hospitals to people with the same score. Another appointment on Monday to discuss …. oncologist will also speak to radiologist. Can’t beSlight frown all this indecision Slight frown

  • What's FLOT?

    1. Mottie

    From Mottie

    Sadly can't write to the group anymore as I can't grip or write. Had hoped to use voice instead but there's no facility for this :'((

    Very best wishes to you all for your personal and infinitely varied experiences

  • Hello Mottie how are you.

    FLOT is the acronym for the chemotherapy drugs used before and usually after surgery on the oesophagus. 
    Geraldine 

  • I hope your appointment on Monday is a bit more clearer, it's so hard when there is variances in the way this disease is treated. 

    My dad has X3 post op FLOT sessions and he had 2 lymph nodes effected of the 38 they removed. His cancer returned 2 months after his FLOT ended so in our situation the post op FLOT has made very little difference to his outcome.